• Title/Summary/Keyword: Clinical Nursing Performance

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Relationship between Uncertainty, Self Efficacy, Social Support, and Self-Care Performance in Liver Transplant Recipients (간이식 수혜자의 불확실성, 자기효능감 및 사회적 지지와 자가간호 수행 간의 관계)

  • Hwang, Ga Hwa;Lee, Young Joo
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.2
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    • pp.89-98
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    • 2022
  • Purpose: This study aimed to determine the correlation between uncertainty, self efficacy, social support, and self-care performance among liver transplant recipients. Methods: Participants comprised 111 liver transplant recipients who visited the outpatient clinic at the hepatobiliary and pancreatic surgery department of a hospital in D city. Data were collected from September to October 2021 using self-report questionnaires, and were analyzed by the SPSS 23.0 program. Results: Self-care performance was correlated with uncertainty (r=-.31, p=.001), self efficacy (r=.22, p=.023), and social support (r=.38, p<.001). Conclusion: To improve self-care performance in liver transplant recipients, it is necessary to develop nursing interventions that can reduce uncertainty and enhance self efficacy and social support.

Analysis of Clinical Nursing Activities Using Home Hospice Nursing Intervention Standards (가정호스피스 간호중재 표준서에 의한 임상간호활동 분석)

  • Yong, Jin-Sun
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.960-972
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    • 2008
  • Purpose: The purpose of this study was to validate the nursing intervention standards of home care to home care setting for a guide in giving quality care to home hospice patients. Methods: The developed nursing standards were applied to 79 home hospice patients at K hospital, C university. Data were collected through the developed nursing intervention standards of home care with 19 selected nursing interventions and 418 associated nursing activities from January to June in 2006. Results: The performance frequency was 509 times for total nursing interventions and 7,815 times for total associated nursing activities. The most frequently used nursing activity was 722 times(9.24%) on teaching prescribed medication, followed by surveillance(718 times, 9.18%), and vital signs & neurologic monitoring nursing intervention(701 times, 8.97%). The highest mean nursing activity performance rate showed on Intravenous therapy(82%), followed by dying care(81%), and vital signs & neurologic monitoring (80%). Among 418 nursing activities, there were three classifications: 168 as core activities, 165 as major, and 85 as accessory activities. Conclusion: The final validated nursing intervention standards can guide home care nurses to perform quality care and contribute to computerized nursing services and request of nursing fees.

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Predictors of MERS-related Preventive Behaviors Performance among Clinical Practice Students in a Tertiary Hospital (상급종합병원 임상실습 학생의 메르스 예방행위 수행 예측요인)

  • Kim, Hee Sun;Park, Jin Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.174-185
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    • 2018
  • This study was conducted to explore the levels of Middle East Respiratory Syndrome (MERS)-related knowledge, attitudes and preventive behaviors performance and to identify predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. The participants were 480 nursing and medical clinical practice students. Data collection was conducted using self-reported questionnaires in June of 2015 and were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and hierarchical regression using the SPSSWIN 24.0 program. The MERS-related knowledge (9.56 out of 13 points) was high, attitudes towards MERS, such as severity cognition and prevention about MERS was positive (4.15 out of 5 points), and MERS-related preventive behaviors performance level was moderate (3.02 out of 5 points). Female students, having education experience regarding MERS, taking vaccination for influenza H1N1 infection in the last year, having the intention of taking influenza H1N1 in the current year, having fear of MERS infection, higher knowledge and more positive attitudes about MERS were predictors of better MERS-related preventive behaviors performance. These results show that general characteristics associated with MERS-related preventive behaviors performance should be considered to improve preventive behaviors of clinical practice students. Furthermore, this study highlights the need to develop effective and useful MERS education programs that provide essential knowledge and attitude about MERS that clinical practice students must acquire to promote the MERS-related preventive behaviors performance.

Nurses' Colleague Solidarity and Job Performance: Mediating Effect of Positive Emotion and Turnover Intention

  • Jizhe Wang;Shao Liu;Xiaoyan Qu;Xingrong He;Laixiang Zhang;Kun Guo;Xiuli Zhu
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.309-316
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    • 2023
  • Background: Job performance is known as an essential reflection of nursing quality. Colleague solidarity, positive emotion, and turnover intention play effective roles in a clinical working environment, but their impacts on job performance are unclear. Investigating the association between nurses' colleague solidarity and job performance may be valuable, both directly and through the mediating roles of positive emotion and turnover intention. Methods: In this cross-sectional study, a total of 324 Chinese nurses were recruited by convenience sampling method from July 2016 to January 2017. Descriptive analysis, Spearman's correlation analysis, and the structural equation model were applied for analysis by SPSS 26.0 and AMOS 24.0. Results: A total of 49.69% of participants were under 30 years old, and 90.12% of participants were female. Colleague solidarity and positive emotion were positively connected with job performance. The results indicated the mediating effects of positive emotion and turnover intention in this relationship, respectively, as well as the chain mediating effect of positive emotion and turnover intention. Conclusions: In conclusion, dynamic and multiple supportive strategies are needed for nurse managers to ameliorate nursing job performance by improving colleague solidarity and positive emotion and decreasing turnover intention based on the job demand-resource model.

Comparison of Student Nurses Graduating from a Junior College or a University on Observation and Performance of Nursing Roles (3, 4년제 졸업예정 간호학생의 간호 역활에 대한 관찰 및 수행정도 비교연구)

  • Shon, Yong-Hee;Kang, Hyun-Sook;Park, Young-Sook;Han, Hye-Ja;Kwon, Sung-Bok;Lim, Nan-Young;Kim, Dong-Ok;Kim, Joo-Hyun;Son, Haeng-Mi;Lee, Eun-Hee;Lee, Yeo-Jin;Cho, Kyung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.172-181
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    • 2006
  • Purpose: This study was done to identify observation and performance of nursing role activities by student nurses graduating from 3 year junior colleges or 4 year universities. Method: A descriptive design was used and the participants were 295 student nurses who were graduating. Data were collected using a structured questionnaire. Results: The average score for observation of nursing role activity was $2.16{\pm}0.29$, and for performance $1.61{\pm}0.29$. Among the college students, the mean item score for observation was highest for medication administrator and lowest for provider of spiritual & bereavement care, while for the university students the highest was for provider of care during surgery and lowest for provider of spiritual & bereavement care. The college students had higher scores for observation, and the university students for performance. Conclusion: It is concluded that standardized practice learning programs need to be designed in schools and in clinical practice areas, in order to further develop adaptability to nursing roles.

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Influence of Emotional Labor, Communication Competence and Resilience on Nursing Performance in University Hospital Nurses (대학병원 간호사의 감정노동, 의사소통능력, 회복탄력성이 간호업무성과에 미치는 영향)

  • Park, Jeong Hwa;Chung, Su Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.236-244
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    • 2016
  • The purpose of this study was to investigate the relationship amongst emotional labor, communication competence, resilience, and clinical nursing performance of university hospital nurses, and to identify the influencing factors on job performance of clinical nurses who work at two university hospitals. The data was collected using questionnaires from 216 nurses in February 2016. Data was analyzed using one-way ANOVA, Pearson correlation, and stepwise multiple regression using IBM SPSS 22. There were differences in communication competence (F=3.679, p=.003), resilience (F=7.909, p<.003), and nursing performance (F=2.331, p=.044) correlates with the frequency of leisure activity. The significant relationships were found among age (r=.242, p<.001), years of service (r=.278, p<.001), emotional labor (r=.211, p=.002), communication competence (r=.585, p<.001), and resilience (r=.431, p<.001) with nursing performance in university hospital nurses. The result of the stepwise multiple regression indicates that communication competence and years of service predict 40.9% (F=75.356, p<.001) in nursing performance of university hospital nurses. The most powerful predictor was communication competence (${\beta}=.581$, p<.001), followed by years of service (${\beta}=.268$, p<.001). In conclusion, to enhance nursing performance for university hospital nurses, it is necessary to develop and utilize educational programs that enhance the communication competence and to develop strategies to support leisure activities for university hospital nurses.

The Evaluation of Effectiveness of Belt-type Hand Sanitizers in Clinical Nurses: Focusing on the performance of hand disinfection and the satisfaction (벨트형 손소독제 활용의 효과 평가: 임상간호사의 손소독 수행 정도와 만족도를 중심으로)

  • Cho, Yoonju;Lee, Insook
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.275-285
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    • 2020
  • The aims of this study was to examine the effect on the hand disinfection performance, the performance rate, and the satisfaction with the use of the belt-type hand sanitizers in clinical nurses. The study is a one group pre-post test quasi-experimental design. Effectiveness of using the belt-type hand sanitizers was measured with a self-reporting questionnaire. As a result, the performance of hand disinfection and the performance rate were significantly higher after using the belt-type hand sanitizers, and also, the satisfaction with the use of the belt-type hand sanitizers was significantly high. The belt-type hand sanitizer is effective method to improve both hand disinfection performance and its performance rate. Therefore, if the belt-type hand sanitizer is used in clinical practice, it may contribute to the improving the hand disinfection performance and its performance rate.

Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services (재가간호서비스 제공자의 업무 수행 현황과 장애요인)

  • Oh, Eui Geum;Lee, Hyun Joo;Kim, Yukyung;Sung, Ji Hyun;Park, Young-Su;Yoo, Jae Yong;Woo, Soohee
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.742-751
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    • 2015
  • Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

Development of Performance Measures Based on Nursing Process for Fluid Intake/Output and Tube Care (간호과정 적용 평가도구 개발 -수분섭취/배설간호와 튜브간호를 중심으로-)

  • Kim, Keum Soon;Choi, Yun Kyoung;Choi, Wan Hee;Ahn, Jung Won;Kim, Jin A;Park, Seung Mi;Choi, Kyung Ok;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.13-28
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    • 2012
  • Purpose: This study was conducted to develop standards ensuring nursing process-based fluid intake/output and tube care, and to develop a performance measurement tool evaluating the level of care according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined using a survey of 293 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.86 and 4.02, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care for fluid intake/output and tubes. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for fluid intake/output and tube interventions, such as intravenous catheters, nasogastric tube and urinary catheters.

Critical Thinking Disposition, Problem Solving Process, and Simulation- Based Assessment of Clinical Competence of Nursing Students in Pediatric Nursing (간호대학생의 비판적 사고성향, 문제해결과정 정도 및 아동간호 시뮬레이션 기반 임상수행능력)

  • Kim, Sunghee;Nam, Hyuna;Kim, Miok
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.294-303
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    • 2014
  • Purpose: The purpose of this study was to identify the correlation of critical thinking disposition and problem solving process, and the simulation- based assessment of clinical competence based on a survey of college nursing students. Methods: In this descriptive correlation study, data for 214 nursing students were analyzed using t-test and Pearson correlation coefficients. Results: Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence averaged $3.76{\pm}0.46$ (out of 5), $3.67{\pm}0.47$ (5), and $1.51{\pm}0.17$ (2), respectively. A significant difference in scores for simulation-based assessment of clinical competence was found between the high-scoring group and low-scoring group in critical thinking disposition. A significant positive correlation was found between critical thinking disposition and nursing assessment, a sub-domain of clinical competence. Conclusion: The results suggest that success in simulation-based learning requires critical thinking disposition in the nursing students, and their critical thinking disposition plays a positive role in nursing assessment, which evaluates the patient's status in a complex situation. Simulation-based learning programs help assess the students' levels in their clinical judgement and performance, and identify their strengths and weaknesses so that the instructor can evaluate and improve the current teaching method.